UCSB HAZARDOUS MATERIALS/WASTE PICKUP REQUEST
Materials/waste must be segregated, labeled and packaged according to the Campus Haz. Waste Disposal Procedures and must be itemized below or it will not be picked up.
Non-research areas (instruction, maintenance, etc.) must provide recharge number or waste will not be picked up.
Recharge Number:
Contact Name (required):
Department:
PI Name:
Phone:
Building:
Room:
Pickup Summary:
  • Press 'Add to Pickup' button to add chemical to below list.
  • Repeat to add additional items.
  • To remove a items from the list, click the remove button next to the item.
    • Chemical:   Qty:   Unit:    
     ChemicalQtyUnit
    Notes:

    BY ENTERING YOUR E-MAIL ADDRESS BELOW YOU ARE AGREEING THAT THE ABOVE MATERIALS ARE FULLY AND ACCURATELY DESCRIBED AND CONTAINED FOR SAFE HANDLING TO THE BEST OF YOUR KNOWLEDGE AND BELIEF.
    Email (required):
    Date:
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